1915(c) Home and Community-Based Waiver Amendments


The South Carolina Department of Health and Human Services (SCDHHS) gives notice that it intends to file waiver amendments with the Centers for Medicare and Medicaid Services (CMS) for the following 1915 (c) waivers operated through the Office of Waiver and Facility Services: HIV-AIDS (SC.0186), Community Choices (SC.0405), Mechanical Ventilator Dependent (SC.40181), and Medically Complex Children (SC.0675). The Intellectual Disability/Related Disabilities (ID/RD) (SC.0237) and Community Supports (SC.0676) waivers operated by the South Carolina Department of Disabilities and Special Needs (DDSN) will also be amended. The proposed effective date of these amendments is July 1, 2023.

Changes included in the HIV-AIDS (SC.0186), Community Choices (SC.0405), Mechanical Ventilator Dependent (SC.40181), ID/RD (SC.0237), and Community Supports (SC.0676) waiver amendments are provided below:

  1. Appendix C: Collapse registered nurse (RN) and licensed practical nurse (LPN) nursing services into one nursing service; revise provider qualifications and service definition
  2. Appendix C: Collapse Personal Care I and Personal Care II services into one personal care service; revise provider qualifications and service definition
  3. Appendix C: Update policy for reimbursement to family members
  4. Appendix E: Update participant direction opportunities
  5. Appendix J: Incorporate Jan. 1, 2023, rate increases
  6. Community Supports (SC.0676) ONLY - SCDHHS is evaluating modification to the cost cap in Appendix B


SCDHHS proposes the following change to the Medically Complex Children (SC.0675) waiver:


  1. Appendix C: Revise Care Coordination service definition and provider qualifications
  2. Appendix J: Incorporate Jan. 1, 2023, rate increases


Current waiver participants will not be adversely impacted.



The intent to amend the identified waivers with proposed changes was discussed on Jan. 25, 2023, during the monthly Indian Health Services conference call. Proposed changes will also be presented to SCDHHS’ Medical Care Advisory Committee (MCAC) meeting on Feb. 14, 2023, at 10 a.m. at 1801 Main Street, Columbia, S.C.


Information regarding the waiver amendments and proposed changes will be shared with the public during the following webinars:


Webinars: HCBS Waiver Amendments

Tuesday, Feb. 14, 2 p.m.

Registration Link: https://scdhhs.webex.com/scdhhs/onstage/g.php?MTID=ef5cea95cc9b9c0252e68...


HCBS Waiver Amendments

Tuesday, Feb. 21, 2 p.m.

Registration Link: https://scdhhs.webex.com/scdhhs/onstage/g.php?MTID=ef389a2210e5cd286d8e5...


Copies of this notice and the proposed waiver amendments are available for public review at the following locations:

  1. Electronic Access
    1. SCDHHS-operated waivers
      • SCDHHS website: www.scdhhs.gov (under “Public Notices” and “Waivers” sections)
    2. DDSN-operated waivers
  2. Hard Copies
    1. SCDHHS front lobby - 1801 Main Street, Columbia, SC
    2. SCDHHS community long term care (CLTC) regional offices:
Greenville CLTC
620 North Main Street, Suite 300
Greenville, SC 29601
Florence CLTC
2701 Alex Lee Boulevard, Suite 200 
Florence, SC 29506
Spartanburg CLTC
101 North Pine Street, Suite 405
Spartanburg, SC 29302
Conway CLTC
1201 Creel Street
Conway, SC 29527
Greenwood CLTC
617 South Main Street
Greenwood, SC 29646
Charleston CLTC
4130 Faber Place Drive, Suite 303
North Charleston, SC 29405
Rock Hill CLTC
454 South Anderson Road, Suite 11
Rock Hill, SC 29730
Anderson CLTC
3215 Martin Luther King Jr. Boulevard,
Suite H
Anderson, SC 29625
Columbia CLTC
300 Arbor Lake Drive, Suite 900
Columbia, SC 29223
Aiken CLTC
2361 S. Centennial Avenue
Building 2, Suite B
Aiken, SC 29803
Orangeburg CLTC
191 Regional Parkway, Building A
Orangeburg, SC 29118


Public Comments and Responses:

If you have a question or comment regarding this amendment, please send it to the following mail or email address prior to March 1, 2023:

Email: comments@scdhhs.gov


Mail: Attention: Russell Morrison

Office of Waivers and Facility Services

South Carolina Department of Health and Human Services

Post Office Box 8206

Columbia, SC 29202-8206


Any written comments submitted may be reviewed by the public at SCDHHS, Bureau of Policy, 1801 Main Street, Columbia, SC 29201 from 8:30 a.m. to 5 p.m. Monday through Friday

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